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1841850468
JACOB L LOGSDON
JOPLIN, MO
NPI
1841850468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2019017361)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
JACOB L LOGSDON
1949 SNOWBERRY LN
JOPLIN, MO 64804-5420
Phone number: 417-347-7860
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Mailing Address
JACOB L LOGSDON
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number: 417-347-7579
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